Department of Health Services, School of Public Health, University of Washington, Box 357230, Seattle, WA, 98195-7230, USA,
Matern Child Health J. 2013 Nov;17(9):1582-90. doi: 10.1007/s10995-012-1168-7.
This study provides estimates of the annual use of preventive oral health care by U.S. children ages 6 months-17 years. We estimated the annual use of preventive oral health care with data from the Medical Expenditure Panel Survey for the years 2005 through 2008 (n = 18,218). Additionally, we tested associations between use of preventive oral health care and predisposing factors, enabling factors and health need within three age groups: young children, school-age children and youth. Overall, 21 % of the sample was reported to have received preventive oral health care in the prior year. More school-age children received preventive care than did young children or youth regardless of gender, race/ethnicity, health status, residence, or family size. Among the youngest children, low parental education and lack of health insurance were associated with lower odds of receiving preventive care. School-age children of racial and ethnic minority groups had a higher odds of receiving preventive care than did non-Hispanic Whites. Youth with special health care needs were less likely to receive care than their peers. Within each age group, use of preventive care increased significantly from 2005 to 2008. In the U.S. there has been an increase in use of pediatric preventive dental care. Continued effort is needed to achieve primary prevention. Outreach and education should include all parents and especially parents with low levels of education, parents of children with special health care needs and those without health insurance.
本研究提供了美国 6 个月至 17 岁儿童每年接受预防性口腔保健服务的估计数。我们利用 2005 年至 2008 年《医疗支出调查》的数据来估计预防性口腔保健服务的年利用情况（n=18218）。此外，我们还检验了在三个年龄组（幼儿、学龄儿童和青少年）中，预防性口腔保健的使用与倾向因素、促成因素和健康需求之间的关联。总体而言，21%的样本报告在过去一年中接受过预防性口腔保健。无论性别、种族/民族、健康状况、居住地或家庭规模如何，学龄儿童接受预防性保健的比例都高于幼儿或青少年。在最年幼的儿童中，父母受教育程度低和缺乏健康保险与接受预防性保健的几率降低有关。少数族裔群体的学龄儿童接受预防性保健的几率高于非西班牙裔白人。有特殊医疗保健需求的青少年接受保健的可能性低于同龄人。在每个年龄组中，从 2005 年到 2008 年，预防性保健的使用显著增加。在美国，儿科预防性牙科保健的使用有所增加。需要继续努力实现初级预防。外展和教育应包括所有父母，尤其是教育程度低的父母、有特殊医疗保健需求的儿童的父母以及没有健康保险的父母。
